Larose, Jason Michael

Larose, Jason Michael is an individual health care provider with primary practice located at 4856 Innovation Dr Ste B , Fort Collins CO 80525-5540. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Peer Specialist is his primary health care specialty. Larose, Jason Michael can be contacted via phone (970) 494-4200.

Contact Information

Primary practice address
4856 Innovation Dr Ste B Fort Collins CO 80525-5540
Phone: (970) 494-4200
Fax: (970) 613-4475
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1073163150
LBN Legal business name Larose, Jason Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2019
Last updated Feb 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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